Job description
STATUS: Full Time
LOCATION: Seacomm Plaza, Potsdam
DEPARTMENT: Patient Accounting
SCHEDULE: 8 Hour, Days
ATTRIBUTES
Preferred: Bachelor's degree in related field
Preferred: 3 years healthcare billing experience
Preferred: AHIMA/AAPC Certified
RESPONSIBILITIES
Using hospital computer system, ascertains status of patients' accounts. Reviews account information to determine completeness of data; e.g. final diagnosis, etc.
Prepares and submits in a timely manner claims. Submission is made in compliance with DRG regulations and/or contractual terms.
Processes follow-up billing as required.
Utilizes payer on-line sites an/or teleprocessing units to verify eligibility, benefits, and pre-certification requirements. Documents accounts with this information and communicates information to Patient Family Services department as necessary.
Prepares daily loss and gain records for third party accounts, and transactions for DRG adjustments, DRG discounts, or contractual adjustments.
Accurately works payer remittances.
Receives calls regarding status of patient accounts; answers routine questions for patients and appropriate others, such as method of payment, explanation of benefits and charges, etc. Refers unusual questions or situations to supervisor.
Submits adjustments to reflect correct charges and reimbursable amounts.
Contacts patient, responsible party or carriers to obtain missing information, signatures, release forms, etc. or to provide appropriate forms, e.g. to complete billing cycle. Updates system with this information.
Completes data processing source document with required information and submits to appropriate insurance carrier.
May type letters, reports, lists; files posts, and sorts.
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